Kemmian Derrail Johnson, is a
Student In An Organized Health Care Education/training Program physician based in New Orleans, Louisiana. Kemmian Derrail Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is 2003 Tulane Avenue, New Orleans, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 962-6110.
NPI number for Kemmian Derrail Johnson is 1528529252 and his current mailing address is 1542 Tulane Ave Fl 4, New Orleans, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528529252.
Physician's Profile
Full Name | Kemmian Derrail Johnson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2003 Tulane Avenue, New Orleans, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528529252
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 06/04/2021
Medical Identifiers
Medical identifiers for Kemmian Derrail Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528529252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 325941 (Louisiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kemmian Derrail Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kemmian Derrail Johnson, 1542 Tulane Ave Fl 4, New Orleans, LA 70112-2865 Ph: (504) 568-5600 | Kemmian Derrail Johnson, 2003 Tulane Avenue, New Orleans, LA 70112 Ph: (504) 962-6110 |
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